1998 Minnesota Statutes

     62Q.30 Expedited fact finding and dispute resolution 
  process. 

    The commissioner shall establish an expedited fact finding 
 and dispute resolution process to assist enrollees of health 
 plan companies with contested treatment, coverage, and service 
 issues to be in effect July 1, 1999.  If the disputed issue 
 relates to whether a service is appropriate and necessary, the 
 commissioner shall issue an order only after consulting with 
 appropriate experts knowledgeable, trained, and practicing in 
 the area in dispute, reviewing pertinent literature, and 
 considering the availability of satisfactory alternatives.  The 
 commissioner shall take steps including but not limited to 
 fining, suspending, or revoking the license of a health plan 
 company that is the subject of repeated orders by the 
 commissioner that suggests a pattern of inappropriate 
 underutilization.  

    HIST: 1994 c 625 art 4 s 12; 1995 c 234 art 3 s 6; 1997 c 237 
 s 10; 1998 c 407 art 2 s 22